“Mouths full of gold.” Private practice in Britain’s National Health System
By SAURABH JHA, MD
When Aneurin Bevan was asked how he convinced doctors to come on board the National Health Service (NHS) he allegedly replied, “I stuffed their mouths full of gold.” Bevan recognized that to conscript doctors to the largest socialist experiment in healthcare in the world he had to appeal not so much to their morals, but pockets.
There is much piety about the NHS. It is the envy of the world, though oddly Saudi oil barons still favor Cleveland Clinic and Texas Heart Institute over quaint little hospitals in rural Scotland. The NHS featured in Britain’s 2012 Olympic parade along with Mr. Bean and the...
Source: The Health Care Blog - October 29, 2017 Category: Consumer Health News Authors: at RogueRad Tags: Uncategorized Source Type: blogs
Indemnity in general practice: developing a more affordable and stable future
Department of Health (DH) -The DH is seeking to put in place a more stable and more affordable system of indemnity for general practice in England. This factsheet marks the start of detailed work with GP representatives and others. It outlines current assumptions on key areas.FactsheetDH - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - October 12, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Regulation, governance and accountability Workforce and employment Source Type: blogs
Impeachment for " Impulsive, Ignorant Incompetence " ?
In Sunday ’s episode of “Reality-Show Presidency,” we found out what happens when the president and the chairman of the Senate Foreign Relations Committee“stop being polite… and start getting real.” After President Trump blasted him in a series of tweets early Sunday, Sen. Bob Corker (R-TN) shot back: Senator Corker is hardly the only highly placed Republican to express grave doubts about Trump ’s stability and competence. Daniel Drezner has assembled a list—now at 115 items and counting—of news stories in which the president’s own aides or political allies talk about him as if he ’s a “toddler.”...
Source: Cato-at-liberty - October 11, 2017 Category: American Health Authors: Gene Healy Source Type: blogs
More Questions Keep Coming About The Security Of The myHR. Maybe A Little More Disclosure Would Help Allay Concerns.
This appeared last week:Are organisations in denial about My Health Record ’s safety?Antony Scholefield6 October 2017 TECH TALKIf you believe the RACGP, the AMA and the Australian Digital Health Agency, the illegal sale of Medicare numbers doesn’t expose any security dangers with My Health Record.All three organisations have fronted a Senate inquiry into how Medicare n umbers ended up for sale on the ‘dark web’ for a bargain rate of about $25 each in July.The prevailing theory is that whoever stole the Medicare numbers exploited legitimate access to the Health Professional Online Services (HPOS) website, and senato...
Source: Australian Health Information Technology - October 11, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
A Bit Of A War Seems To Have Broken Out Regarding Provision Of GP Services On Line!
First we have had articles like this:Online GP and pharmacy services “second best”Sheshtyn Paola — 21/09/2017Doctor and pharmacy groups criticise websites that offer online consultations, scripts and medication deliveryFollowing the announcement that Qoctor – formerly known as Dr Sicknote – is now expanding its services, the RACGP has stated that the increa sing prevalence of medical online services fragments care.Qoctor is an online medical hub that offers medical certificates, specialist referrals and online consultations, and this week announced it is expanding into providing online prescriptions for STIs, con...
Source: Australian Health Information Technology - September 28, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
VisualDx + Derm Expert, a Deep Learning App to Help Diagnose Skin Conditions
When a person develops an unsightly skin condition, the first person to assess it is typically not a dermatologist. A lack of expertise in dermatology too often leads to misdiagnoses. General practice physicians, for example, get very little training on skin conditions. Now, thanks to a new feature inside the latest Apple iOS for iPhones and iPads, any physician can have access to an impressive image recognition platform that identifies skin conditions and recommends further actions. We spoke with Dr. Art Papier, CEO of VisualDx, about the VisualDx + Derm Expert app that the company is making available.
The new app is cert...
Source: Medgadget - September 26, 2017 Category: Medical Devices Authors: Editors Tags: Dermatology Exclusive Medicine Source Type: blogs
AusHealthIT Poll Number 389 – Results – 24th September, 2017.
Here are the results of the poll.On Average, Across GP Practices, Do You Believe The IT Security Processes and Arrangements Are Adequate To Fully Protect Patient Information Held In The myHR?Yes 43% (51)
No 38% (45)
I Have No Idea 19% (23)
Total votes: 119
Interestingly a split vote with many confident of the security in general practice and a large minority no so much.
Clearly the implication is that things are nowhere near as good as they might be…..
Any insights welcome as a comment.
A great turnout of votes!
Again, many, many thanks to all those that voted!
David.
This is the initial part of the post - re...
Source: Australian Health Information Technology - September 24, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
The state of care in general practice 2014 to 2017: findings from CQC ’s programme of comprehensive inspections of GP practices
This report presents findings from the CQC programme of inspections of GP practices. It finds that GPs are facing ongoing pressures around capacity, patient demand and workload. It also discovers that the best general practices are driving change and embracing innovation to make sure they are able to deliver even better care into the future. It concludes that the majority of general practices are safe and of a high quality.ReportCQC - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - September 21, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Patient safety Quality of care and clinical outcomes Regulation, governance and accountability Source Type: blogs
Weekly Australian Health IT Links – 18th September, 2017.
Here are a few I have come across the last week or so.Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General CommentA really interesting week with a major step for patient information sharing between a GP practice and a patient.Elsewhere we have the ongoing consequences of various leaks and stuff-ups with the DHS etc.-----https://www.ipn.com.au/gp/nsw-dee-why-dee-why-general-practice/news-events/article/your-gp-medical-records-in-your-hands/Your GP M...
Source: Australian Health Information Technology - September 18, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
Patients need more time with their physicians; Physicians need more time with their patients
This article comes from Great Britain and their wonderful NHS. It is slightly less bad in the USA. Electronic health records have worsened the problem because charting takes much longer.
Many experts believe that inadequate time leads to diagnostic errors. Others (as the article suggests) note that shared decision making takes time, and too often we do not have adequate time to have those discussions.
We waste resources trying to cram too many patients into the physicians day. We cannot say this often enough. This is not a doctor issue; this is a patient issue. Patients suffer when we shorten their visits.
&nbs...
Source: DB's Medical Rants - August 30, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
AusHealthIT Poll Number 395 – Results – 27th August, 2017.
Here are the results of the poll.Overall, Do You Believe The Use Of EHR Systems By GPs Has Improved Or Worsened The Quality And Safety Of Patient Care?Improved 76% (110)
No Difference 17% (24)
Worsened 1% (1)
I Have No Idea 6% (9)
Total votes: 144
The numbers speak for themselves. Most are positive on the use of EHRs in General Practice.
I would be keen to hear comments on the result.
A great turnout of votes!
Again, many, many thanks to all those that vot ed!
David.
This is the initial part of the post - read more by clicking on the title of the article. David. (Source: Australian Health Information Technology)
Source: Australian Health Information Technology - August 26, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
Primary Care Home: evaluating a new model of primary care
This report looks at how sites can make early progress with implementing and evaluating their local PCH models, examines what might stand in the way of change and offers a number of broader lessons for the NHS as a whole.ReportNuffield Trust - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 24, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Developments in primary and community care Source Type: blogs
Do You Think This Is A Credible Analysis Of Where We Are With Secure Messaging And Interoperability?
This appeared last week:Australia ’s most urgent digital health care issue is appalling interoperabilityJeremy Knibbs and Andrew Birmingham / August 18, 2017 Severe interoperability problems in the healthcare sector are holding back efficiency, massive cost savings for government, and, most importantly, patient safety.Each year it is believed that as many as 18,000 deaths are caused or at least expedited in Australia by medical errors. A lot of these errors have their origins in a digital ecosystem beset by bespoke secure communications systems that simply that don’t talk to each other.In general practice, there are ab...
Source: Australian Health Information Technology - August 22, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
Expansion of the GP international recruitment programme
NHS England - This guidance describes how NHS England is working with partner organisations to expand the GP international recruitment programme. In order to meet targets for GP recruitment set out in the General practice forward view, the programme is being brought forward two years and proposals for the recruitment of an extra 601 doctors has been approved.GuidanceNHS England publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 22, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs
New Zealand Seems To Be Making Some Great Headway With A Simple Summary Record.
This appeared last week:HealthOne an e-health record for all?Liane Topham-Kindleyliane@nzdoctor.co.nzTuesday 01 August 2017, 1:40PM The electronic shared health records system HealthOne is operating throughout the South Island as of today, with Nelson Marlborough DHB officially joining the system.
Now all DHBs in the South Island have access to HealthOne allowing general practice teams, hospital clinicians, pharmacists and a growing number of community providers access to shared information including test results, allergies, medications, previous hospital admissions and appointments and med ical imaging.
It’s a signi...
Source: Australian Health Information Technology - August 9, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
